Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dustin Joel Moon, PT

Individual provider Physical Therapist · NPI 1174774822

Dustin Joel Moon, PT is a Physical Therapist in Private Practice in Charlottesville, Virginia. Qualified in 2008, 18 years ago. Practices with Physical Therapy at Acac, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Virginia.

Years since qualifying
18
Licensed in
OR, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

111 Monticello Ave Ste B
Charlottesville, VA 22902-5698
Phone: (434) 817-7848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1717 Ne 2nd Street, Redmond, OR 97756-8249 — (541) 504-2350

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216399 (VA)
Physical Therapist Taxonomy 225100000X · Licence 5786 (OR)

Record details

NPI number1174774822
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Physical Therapy At Acac — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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